Peptides for inducing cytotoxic T lymphocyte responses to hepatitis B virus

ABSTRACT

Peptides are used to define epitopes that stimulate HLA-restricted cytotoxic T lymphocyte activity against hepatitis B virus antigens. The peptides are derived from regions of HBV envelope, and are particularly useful in treating or preventing HBV infection, including methods for stimulating the immune response of chronically infected individuals to respond to HBV antigens.

GOVERNMENT SUPPORT

[0001] The U.S. Government may have certain rights in this inventionpursuant to grants awarded by the National Institutes of Health.

BACKGROUND OF THE INVENTION

[0002] Cytotoxic T lymphocytes (CTLs) play an essential role in fightingcells infected with viruses, intracellular bacteria and parasites, andtumor cells. They do so by direct cytotoxicity and by providing specificand nonspecific help to other immunocytes such as macrophages, B cells,and other T cells. Infected cells or tumor cells process antigen throughintracellular events involving proteases. The processed antigen ispresented on the cellular surface in the form of peptides bound to HLAclass I molecules to T cell receptors on CTLs. MHC class I molecules canalso bind exogenous peptides and present them to CTLs withoutintracellular processing.

[0003] At the present time it is difficult to accurately predict fromthe sequence of an antigenic protein how the protein will be processedand which peptide portions will bind HLA class I molecules and bepresented to CTLs. Binding motifs have been predicted for some HLA classI molecules based on sequence analysis of peptides eluted from thesemolecules (Falk et al., Nature 351:290 (1991)). Further, of the peptidesthat are processed and do bind to HLA class I, which ones will containCTL-recognizable epitopes is not yet predictable.

[0004] Hepatitis B Virus (“HBV”) is a non-lytic virus which hascurrently infected approximately 250 million people worldwide. HBVinfection in adults typically leads to an acute disease in the majorityof cases, and to a chronic disease state in a minority of patients. Thisratio of acute to chronic is reversed when the infection occurs close tothe time of birth. There is an increased incidence of hepatocellularcarcinoma in chronic HBV infection. A small percentage of individualswho are infected with HBV in adulthood develop fulminant hepatitisassociated with a strong immune response with high lethality.

[0005] While there is no effective treatment for HBV infection, vaccineshave been developed in recent years to prevent HBV infection. Thevaccines employ either HBV surface antigen (HBsAg) purified from theplasma of chronic HBV carriers, or HBsAg produced by recombinant DNAtechnology. Synthetic HBsAg peptide-based vaccines have also beenproposed. See, for example, U.S. Pat. Nos. 4,599,230 and 4,599,231. Theanti-HBsAg vaccines, however, afford protection in only about 90% ofimmunized individuals. Those who are unimmunized, or immunized butunprotected, provide a significant reservoir of potential infection.

[0006] The contribution of CTLs to immunity to HBV antigens has beendifficult to assess. Chisari et al. (Microbial Pathogen. 6:31 (1989))have suggested that liver cell injury may be mediated by an HLA-Class Irestricted, CD8⁺ cytotoxic T cell response to HBV encoded antigens.Class I major histocompatibility (MHC)-restricted cytotoxic T lymphocyteresponses have been identified for a variety of other viruses, such asinfluenza. For example, Townsend et al., Cell 44:959 (1986) reportedthat epitopes of an influenza virus nucleoprotein recognized bycytotoxic T lymphocytes could be defined by synthetic peptides. Inattempting to define the cytotoxic T lymphocyte response to HBV, it hasbeen shown that peripheral blood lymphocytes from patients with acuteand chronic HBV may be able to kill autologous hepatocytes in vitro, butthe specificity of the cytolytic activity, its HLA restriction elements,and cellular phenotype were not established. See, Mondelli et al., J.Immunol. 129:2773 (1982) and Mondelli et al., Clin. Exp. Immunol. 6:311(1987). Moriyama et al., Science 248:361-364 (1990), have reported thatthe HBV major envelope antigen is expressed at the hepatocyte surface ina form recognizable by envelope-specific antibodies and by MHC classI-restricted, CD8⁺ cytotoxic T lymphocytes.

[0007] As there is a large reservoir of individuals chronically infectedwith HBV, it would be desirable to stimulate the immune response ofthese individuals to respond to appropriate HBV antigens and therebyeliminate their infection. It would also be desirable to prevent theevolution to a chronic HBV infection in individuals suffering from anacute phase infection. Further, as the presently approved HBV vaccinesdo not elicit protective immunity in about 10% of immunized individuals,it would be desirable to elicit more effective immunity, such as byincreasing or diversifying the immunogenicity of the vaccines. Quitesurprisingly, the present invention fulfills these and other relatedneeds.

SUMMARY OF THE INVENTION

[0008] The present invention provides peptides which induce MHC class Irestricted cytotoxic T lymphocyte responses against HBV antigen. Thepeptides of interest are derived from the HBV envelope. In certainembodiments the CTL inducing peptide will have the sequence HBenv183-191Phe-Leu-Leu-Thr-Arg-Ile-Leu-Thr-Ile (Seq. ID No. 1); HBenv248-257Phe-Ile-Leu-Leu-Leu-Cys-Leu-Ile-Phe-Leu (Seq. ID No. 3); HBenv249-257Ile-Leu-Leu-Leu-Cys-Leu-Ile-Phe-Leu (Seq. ID No. 4); HBenv249-258Ile-Leu-Leu-Leu-Cys-Leu-Ile-Phe-Leu-Leu (Seq. ID No. 5); HBenv250-258Leu-Leu-Leu-Cys-Leu-Ile-Phe-Leu-Leu (Seq. ID No. 6); HBenv251-259Leu-Leu-Cys-Leu-Ile-Phe-Leu-Leu-Val (Seq. ID No. 7), HBenv251-260Leu-Leu-Cys-Leu-Ile-Phe-Leu-Leu-Val-Leu (Seq. ID No. 8), HBenv260-269Leu-Leu-Asp-Tyr-Gln-Gly-Met-Leu-Pro-Val (Seq. ID No. 9), HBenv335-343Trp-Leu-Ser-Leu-Leu-Val-Pro-Phe-Val (Seq. ID No. 10), HBenv152-161Ser-Ile-Leu-Ser-Lys-Thr-Gly-Asp-Pro-Val (Seq. ID No. 11); HBenv177-185Val-Leu-Gln-Ala-Gly-Phe-Phe-Leu-Leu (Seq. ID No. 12); HBenv204-212Phe-Leu-Gly-Gly-Thr-Pro-Val-Cys-Leu (Seq. ID No. 13) ; or HBenv370-379Ser-Ile-Val-Ser-Pro-Phe-Ile-Pro-Leu-Leu (Seq. ID No. 14); or will have asequence substantially homologous to one of the foregoing sequences. Thepeptide can be optionally flanked and/or modified at one or both of theN- and C-termini, as desired. Conservative substitutions, deletions andadditions may be made at non-critical residue positions within theselected peptide without substantially adversely affecting itsbiological activity.

[0009] In the various peptide embodiments it will be understood that thepeptides can be polymerized, each to itself to form larger homopolymers,or with different peptides to form heteropolymers. In some instancespeptides will be combined in a composition as an admixture and will notbe linked. The peptide can also be conjugated to a lipid-containingmolecules capable of enhancing a T lymphocyte response, or to adifferent peptide which induces a T-helper cell response, for example.

[0010] Compositions are provided which comprise a peptide of theinvention formulated with an additional peptide, a liposome, an adjuvantand/or a pharmaceutically acceptable carrier. Thus, pharmaceuticalcompositions can be used in methods of treating acute HBV infection,particularly in an effort to prevent the infection from progressing to achronic or carrier state. Methods for treating chronic HBV infection andHBV carrier states are also provided, where the pharmaceuticalcompositions are administered to infected individuals in amountssufficient to stimulate immunogenically effective cytotoxic T cellresponses against HBc epitopes. For treating these infections it may beparticularly desirable to combine the peptides which induce MHC class Irestricted cytotoxic T lymphocyte responses against HBV antigen withother peptides or proteins that induce immune response to other HBVantigens, such as HBV core. To treat individuals with chronic, orcarrier state infections the compositions may be administered inrepeated dosages over a prolonged period of time, as necessary, toresolve or substantially mitigate the infection and/or shedding ofvirus.

[0011] Vaccine compositions for preventing HBV infection, particularlychronic HBV infection, are also provided. The vaccine compositionscomprise an immunogenically effective amount of a HBV envelope peptidementioned above which induces a MHC class I restricted cytotoxic Tlymphocyte response, such as HLA-A2, and will typically further comprisean adjuvant, e.g., incomplete Freund's adjuvant or aluminum hydroxide.To achieve enhanced protection against HBV, the vaccine can furthercomprise components which elicit a protective antibody response to HBVenvelope antigen.

[0012] In yet other embodiments the invention relates to methods fordiagnosis, where the peptides of the invention are used to determine thepresence of lymphocytes in an individual which are capable of acytotoxic T cell response to HBV envelope antigen. The absence of suchcells determines whether the individual of interest is susceptible todeveloping chronic HBV infection. Typically the lymphocytes areperipheral blood lymphocytes and the individual of interest is sufferingfrom an acute HBV infection.

BRIEF DESCRIPTION OF THE DRAWINGS

[0013]FIG. 1 shows that HBsAg335-343, WLSLLVPFV, is the minimal optimalCTL epitope recognized by CTL stimulated HBsAg329-348. A CTL clone frompatient A-1 and a CTL cloned line from patient A-3, generated bystimulation with HBsAg329-348, were tested against JY target cellsprepulsed either with truncations (upper panels) or with overlapping9-mers or 10-mers (lowers panels) covering HBsAg329-348.

[0014]FIG. 2 further confirms that an optimal epitope withinHBsAg329-348 for in vitro CTL induction is HBsAg335-343.

[0015]FIG. 3 shows the HBV specific CTL response in patients with acutehepatitis B infection, chronic hepatitis B infection, and normalsubjects. PBMC from acute patients (A-1 to A-12), chronic patients (C-1to C-6), and normal subjects (N-1 to N-6) were stimulated with thefollowing synthetic peptides: 1-HBcAg18-27, 2=HBsAg201-210,3=HBsAg251-259, 4=HBsAg260-269, 5-HBcAg335-343, 6=HBsAg338-347,7=HBsAg348-357, 8=HBsAg378-387.

[0016]FIG. 4 shows the results of HLA-A2.1 competitive bindinginhibition assays, represented as % inhibition of HBcAg18-27 specificlysis in a 4 hour ⁵¹Cr release assay.

[0017]FIG. 5 illustrates that the CTL response to HBsAg335-343 andHBsAg348-357 are group specific and subtype specific, respectively, andthat the synthetic peptides contain epitopes that are also generated bythe endogenous processing of the large, middle and major HBV envelopepolypeptides within infected cells.

DESCRIPTION OF THE SPECIFIC EMBODIMENTS

[0018] The present invention provides peptides derived from HBV envelopeproteins for use in compositions and methods for the treatment,prevention and diagnosis of HBV infection. The peptides stimulate MHCHLA-class I restricted cytotoxic T lymphocyte responses against HBVinfected cells. The stimulated cytotoxic T lymphocytes are able to killthe infected cells or inhibit viral replication and thus interrupt orsubstantially prevent infection, including chronic HBV infection. Apeptide effective in eliciting a cytotoxic T cell response may also becombined with an immunogen capable of eliciting a T-helper response.

[0019] The peptides employed in the invention are derived from theregions of HBenv183-191 (Seq. ID No. 1), HBenv248-260 (Seq. ID No. 2),HBenv260-269 (Seq. ID No. 9), HBenv335-343 (Seq. ID No. 10),HBenv152-161 (Seq. ID No. 11), HBenv177-185 (Seq. ID No. 12),HBenv204-212 (Seq. ID No. 13), and HBenv370-379 (Seq. ID No. 14), wherethe numbering is according to Galibert et al., supra.

[0020] By HBV cytotoxic T lymphocyte inducing “peptide” or“oligopeptide” of the present invention is meant a chain of at leastfour HBV amino acid sequence residues, preferably at least six, morepreferably eight or nine, sometimes ten to twelve residues, and usuallyfewer than about fifty residues, more usually fewer than aboutthirty-five, and preferably fewer than twenty-five, e.g., eight toseventeen amino acid residues derived from an HBc sequence. It may bedesirable to optimize peptides of the invention to a length of eight totwelve amino acid residues, commensurate in size with endogenouslyprocessed viral peptides that are bound to MHC class I molecules on thecell surface. See generally, Schumacher et al., Nature 350:703-706(1991); Van Bleek et al., Nature 348:213-216 (1990); Rotzschke et al.,Nature 348:252-254 (1990); and Falk et al., Nature 351:290-296 (1991),which are incorporated herein by reference. As set forth in more detailbelow, usually the peptides will have at least a majority of amino acidswhich are homologous to a corresponding portion of contiguous residuesof the HBV sequences identified herein, and containing a CTL-inducingepitope.

[0021] The peptides can be prepared “synthetically,” as describedhereinbelow, or by recombinant DNA technology. Although the peptide willpreferably be substantially free of other naturally occurring HBVproteins and fragments thereof, in some embodiments the peptides can besynthetically conjugated to native fragments or particles. The termpeptide is used interchangeably with polypepti in the presentspecification to designate a series of amino acids connected one to theother by peptide bonds between the alpha-amino and alpha-carboxy groupsof adjacent amino acids. The polypeptides or peptides can be a varietyof lengths, either in their neutral (uncharged) forms or in forms whichare salts, and either free of modifications such as glycosylation, sidechain oxidation, or phosphorylation or containing these modifications,subject to the condition that the modification not destroy thebiological activity of the polypeptides as herein described.

[0022] Desirably, the peptide will be as small as possible while stillmaintaining substantially all of the biological activity of the largepeptide. By biological activity is meant the ability to bind anappropriate MHC molecule and induce a cytotoxic T lymphocyte responseagainst HBV antigen or antigen mimetic. By a cytotoxic T lymphocyteresponse is meant a CD8⁺ T lymphocyte response specific for an HBVantigen of interest, wherein CD8⁺, MHC class I-restricted T lymphocytesare activated. The activated T lymphocytes secrete lymphokines (e.g.,gamma interferon) liberate products (e.g., serine esterases) thatinhibit viral replication in infected autologous cells or transfectedcells, with or without cell killing.

[0023] The terms “homologous”, “substantially homologous”, and“substantial homology” as used herein, denote a sequence of amino acidshaving at least 50% identity wherein one sequence is compared to areference sequence of amino acids. The percentage of sequence identityor homology is calculated by comparing one to another when aligned tocorresponding portions of the reference sequence.

[0024] A CTL-inducing HBV peptide embodiment of the invention from thenucleocapsid region comprises from six to thirty-five amino acids andcontains at least one HIA- restricted CTL epitopic site from the peptideregion HBenv183-191 (Seq. ID No. 1). A majority of the amino acids ofthe peptide will be identical or substantially homologous to the aminoacids of the corresponding portions of the naturally occurringHBenv183-191 region, where HBenv183-191 has the sequence:

[0025] HBenv183-191 (Seq. ID No. 1) Phe-Leu-Leu-Thr-Arg-Ile-Leu-Thr-Ile

[0026] The peptide embodiments of this HBenv183-191 region can beoptionally flanked and/or modified at one or both of the N- andC-termini, as desired, by amino acids from HBV sequences, including HBC,amino acids added to facilitate linking, other N- and C-terminalmodifications, linked to carriers, etc., as further described herein.The peptide HBenv183-191 induces a cytotoxic T lymphocyte response whichis mediated by at least the MHC class I molecule HLA-A2.

[0027] Other HBenv peptide embodiments of the invention are preparedfrom the region of HBenv248-260. Peptides derived from this regioncontain at least one CTL-inducing HLA class I-restricted epitopic site,and will typically be at least seven amino acids, more usually nine, tenor eleven amino acids or more. A majority of the amino acids of thepeptide will be identical or substantially homologous to the amino acidsof the corresponding portions of the naturally occurring HBenv248-260sequence, where HBenv248-260 has the sequence (for HBV subtype ayw):

[0028] HBenv248-260 (Seq. ID No. 2)Phe-Ile-Leu-Leu-Leu-Cys-Leu-Ile-Phe-Leu-Leu-Val-Leu.

[0029] The peptide from the HBenv248-260 region can be flanked and/ormodified at one or both termini as described herein.

[0030] Representative CTL-inducing peptides prepared from the region ofHBenv248-260 include the following 9- and 10-mer peptides:

[0031] HBenv248-257 (Seq. ID No. 3)Phe-Ile-Leu-Leu-Leu-Cys-Leu-Ile-Phe-Leu;

[0032] HBenv249-257 (Seq. ID No. 4) Ile-Leu-Leu-Leu-Cys-Leu-Ile-Phe-Leu;

[0033] HBenv249-258 (Seq. ID No. 5)Ile-Leu-Leu-Leu-Cys-Leu-Ile-Phe-Leu-Leu;

[0034] HBenv250-258 (Seq. ID No. 6) Leu-Leu-Leu-Cys-Leu-Ile-Phe-Leu-Leu;

[0035] HBenv251-259 (Seq. ID No. 7) Leu-Leu-Cys-Leu-Ile-Phe-Leu-Leu-Val;

[0036] HBenv251-260 (Seq. ID No. 8)Leu-Leu-Cys-Leu-Ile-Phe-Leu-Leu-Val-Leu;

[0037] The foregoing peptides contain a HLA-restricted CTL-inducingepitope, typically at least HLA-A2 restricted, and can be flanked and/ormodified at one or both termini as mentioned for peptide I above.

[0038] In a further embodiment, a peptide of the invention comprises the10-mer peptide HBenv260-269, and peptides derived from HBenv260-269which contain a CTL-inducing HLA class I-restricted epitopic site(s) ofat least seven contiguous amino acids. A majority of the amino acids ofthe peptide will be identical or substantially homologous to the aminoacids of the corresponding portions of the naturally occurringHBenv260-269 sequence, where HBenv260-269 has the sequence:

[0039] HBenv260-269 (Seq. ID No. 9)Leu-Leu-Asp-Tyr-Gln-Gly-Met-Leu-Pro-Val.

[0040] A peptide prepared from this region can be flanked and/ormodified at one or both termini as described herein. The peptideHBenv260-269 (Seq. ID No. 4) induces a cytotoxic T lymphocyte responsewhich is mediated by at least the MHC class I HLA-A2 molecule.

[0041] Yet other CTL-inducing peptides of the invention are from theregion of HBenv335-343 (Seq. ID No. 10), and includes peptides derivedfrom HBenv335-343 (Seq. ID No. 10) which contain one or moreCTL-inducing HLA class I-restricted epitopic site(s) of at least sevencontiguous amino acids. A majority of the amino acids of the peptidewill be identical or substantially homologous to the amino acids of thecorresponding portions of the naturally occurring HBenv335-343 sequence,where HBenv335-343 has the sequence:

[0042] HBenv335-343 (Seq. ID No. 10)Trp-Leu-Ser-Leu-Leu-Val-Pro-Phe-Val,

[0043] wherein the selected peptide can be flanked and/or modified atone or both termini as described herein.

[0044] Yet other CTL-inducing peptides of the invention are from theregion of HBenv152-161 (Seq. ID No. 11), and includes peptides derivedfrom HBenv152-161 (Seq. ID No. 11) which contain one or moreCTL-inducing HLA class I-restricted epitopic site(s) of at least sevencontiguous amino acids. A majority of the amino acids of the peptidewill be identical or substantially homologous to the amino acids of thecorresponding portions of the naturally occurring HBenv152-161 sequence,where HBenv152-161 has the sequence (adw subtype]):

[0045] HBenv152-161 (Seq. ID No. 11)Ser-Ile-Leu-Ser-Lys-Thr-Gly-Asp-Pro-Val,

[0046] wherein the selected peptide can be flanked and/or modified atone or both termini as described herein.

[0047] Other CTL-inducing peptides of the invention are from the regionof HBenv177-185 (Seq. ID No. 12), and includes peptides derived fromHBenv177-185 (Seq. ID No. 12) which contain one or more CTL-inducing HLAclass I-restricted epitopic site(s) of at least seven contiguous aminoacids. A majority of the amino acids of the peptide will be identical orsubstantially homologous to the amino acids of the correspondingportions of the naturally occurring HBenv177-185 sequence, whereHBenv177-185 has the sequence (adw subtype):

[0048] HBenv177-185 (Seq. ID No. 12)Val-Leu-Gln-Ala-Gly-Phe-Phe-Leu-Leu,

[0049] wherein the selected peptide can be flanked and/or modified atone or both termini as described herein.

[0050] Additional CTL-inducing peptides of the invention are from theregion of HBenv204-212 (Seq. ID No. 13), and includes peptides derivedfrom HBenv204-212 (Seq. ID No. 13) which contain one or moreCTL-inducing HLA class I-restricted epitopic site(s) of at least sevencontiguous amino acids. A majority of the amino acids of the peptidewill be identical or substantially homologous to the amino acids of thecorresponding portions of the naturally occurring HBenv204-212 sequence,where HBenv204-212 has the sequence (adw subtype):

[0051] HBenv204-212 (Seq. ID No. 13)Phe-Leu-Gly-Gly-Thr-Pro-Val-Cys-Leu,

[0052] wherein the selected peptide can be flanked and/or modified atone or both termini as described herein.

[0053] Additional CTL-inducing peptides of the invention are from theregion of HBenv370-379 (Seq. ID No. 14), and includes peptides derivedfrom HBenv370-379 (Seq. ID No. 14) which contain one or moreCTL-inducing HLA class I-restricted epitopic site(s) of at least sevencontiguous amino acids. A majority of the amino acids of the peptidewill be identical or substantially homologous to the amino acids of thecorresponding portions of the naturally occurring HBenv370-379 sequence,where HBenv370-379 has the sequence (adw subtype):

[0054] HBenv370-379 (Seq. ID No. 14)Ser-Ile-Val-Ser-Pro-Phe-Ile-Pro-Leu-Leu,

[0055] wherein the selected peptide can be flanked and/or modified atone or both termini as described herein.

[0056] As mentioned above, additional amino acids can be added to thetermini of an oligopeptide or peptide to provide for ease of linkingpeptides one to another, for coupling to a carrier, support or a largerpeptide, for reasons discussed herein, or for modifying the physical orchemical properties of the peptide or oligopeptide, and the like. Aminoacids such as tyrosine, cysteine, lysine, glutamic or aspartic acid, andthe like, can be introduced at the C- or N-terminus of the peptide oroligopeptide. In addition, the peptide or oligopeptide sequences candiffer from the natural sequence by being modified by terminal-NH₂acylation, e.g., acetylation, or thioglycolic acid amidation,terminal-carboxy amidation, e.g., ammonia, methylamine, etc. In someinstances these modifications may provide sites for linking to a supportor other molecule.

[0057] It will be understood that the HBV peptides of the presentinvention or analogs thereof which have cytotoxic T lymphocytestimulating activity may be modified as necessary to provide certainother desired attributes, e.g., improved pharmacologicalcharacteristics, while increasing or at least retaining substantiallythe biological activity of the unmodified peptide. For instance, thepeptides can be modified by extending, decreasing or substituting aminoacids in the peptide sequence by, e.g., the addition or deletion ofamino acids on either the amino terminal or carboxy terminal end, orboth, of peptides derived from the sequences disclosed herein. Thepeptides may be modified to substantially enhance the CTL inducingactivity, such that the modified peptide analogs have CTL activitygreater than a peptide of the wild- type sequence. For example, it maybe desirable to increase the hydrophobicity of the N-terminal of apeptide, particularly where the second residue of the N-terminal ishydrophobic and, is implicated in binding to the HLA restrictionmolecule. By increasing hydrophobicity at the N-terminal, the efficiencyof the presentation to T cells may be increased. Peptides prepared fromother disease associated antigens, particularly those containing CTLinducing epitopes for which a host may not have significant CTLactivity, may be made CTL-inducing by substituting hydrophobic residuesat the N-terminus of the peptide where the second residue is normallyhydrophobic.

[0058] The peptides employed in the subject invention need not beidentical to peptides HBenv183-191 (Seq. ID No. 1), HBenv248-257 (Seq.ID No. 3), HBenv249-257 (Seq. ID No. 4), HBenv249-258 (Seq. ID No. 5),HBenv250-258 (Seq. ID No. 6) HBenv251-259 (Seq. ID No. 7), HBenv251-260(Seq. ID No. 8), HBenv260-269 (Seq. ID No. 9), HBenv335-343 (Seq. ID No.10)., HBenv152-161 (Seq. ID No. 11), HBenv177-185 (Seq. ID No. 12),HBenv204-212 (Seq. ID No. 13), or HBenv370-379 (Seq. ID No. 14), so longas the subject compounds are able to provide for cytotoxic T lymphocyticactivity against at least one of the four major subtypes of HBV.Although different strains of HBV exist, they each share at least onecommon envelope determinant, which is designated “a”. Each strain alsohas two other envelope determinants, one of which is either “dd” or “y”,and the second is either “w” or “r”. Thus, there are four possiblesubtypes of the virus: adw, ayw, adr, and ayr. The cloning, sequencingand expression of HBV are described in GB 2034323, EP 13828, U.S. Pat.No. 4,935,235, and the complete sequence of the HBV envelope region isalso described in Galibert et al., Nature 281:646 (1979), each of theforegoing being incorporated herein by reference. Amino acid sequencesare described in the GenBank-72 database for 20 different HBV strains,including 7 of the adw subtype, 5 of the ayw subtype, 7 of the adrsubtype, and 1 strain of the ayr subtype, the GenBank sequences alsobeing incorporated herein by reference.

[0059] Therefore, the peptides may be subject to various changes, suchas insertions, deletions, and substitutions, either conservative ornon-conservative, where such changes provide for certain advantages intheir use. By conservative substitutions is meant replacing an aminoacid residue with another which is biologically and/or chemicallysimilar, e.g., one hydrophobic residue for another, or one polar residuefor another. The substitutions include combinations such as Gly, Ala;Val, Ile, Leu; Asp, Glu; Asn, Gln; Ser, Thr; Lys, Arg; and Phe, Tyr.Usually, the portion of the sequence which is intended to substantiallymimic an HBV cytotoxic T lymphocyte stimulating epitope will not differby more than about 20% from the sequence of at least one subtype of HBV,except where additional amino acids may be added at either terminus forthe purpose of modifying the physical or chemical properties of thepeptide for, e.g., ease of linking or coupling, and the like. Whereregions of the peptide sequences are found to be polymorphic among HBVsubtypes, it may be desirable to vary one or more particular amino acidsto more effectively mimic differing cytotoxic T-lymphocyte epitopes ofdifferent HBV strains or subtypes.

[0060] Within the peptide sequences identified by the present invention,including the representative peptides listed above, there are residues(or those which are substantially functionally equivalent) which allowthe peptide to retain their biological activity, i.e., the ability tostimulate a class I-restricted cytotoxic T-lymphocytic response againstHBV infected cells or cells which express HBV antigen. These residuescan be identified by single amino acid substitutions, deletions, orinsertions. In addition, the contributions made by the side chains ofthe residues can be probed via a systematic scan with a specified aminoacid (e.g., Ala). Peptides which tolerate multiple substitutionsgenerally incorporate such substitutions as small, relatively neutralmolecules, e.g., Ala, Gly, Pro, or similar residues. The number andtypes of residues which can be substituted, added or subtracted willdepend on the spacing necessary between the essential epitopic pointsand certain conformational and functional attributes which are sought(e.g., hydrophobicity vs. hydrophilicity). If desired, increased bindingaffinity of peptide analogues to its MHC molecule for presentation to acytotoxic T-lymphocyte can also be achieved by such alterations.Generally, any spacer substitutions, additions or deletions betweenepitopic and/or conformationally important residues will employ aminoacids or moieties chosen to avoid steric and charge interference whichmight disrupt binding.

[0061] Peptides which tolerate multiple substitutions while retainingthe desired biological activity may also be synthesized as D-amino acidcontaining peptides. Such peptide may be synthesized as “inverso” or“retro-inverso” forms, that is, by replacing L-amino acids of a sequencewith D-amino acids, or by reversing the sequence of the amino acids andreplacing the L-amino acids with D-amino acids. As the D-peptides aresubstantially more resistant to peptidases, and therefore are morestable in serum and tissues compared to their L-peptide counterparts,the stability of D-peptides under physiological conditions may more thancompensate for a difference in affinity compared to the correspondingL-peptide. Further, L-amino acid-containing peptides with or withoutsubstitutions can be capped with a D-amino acid to inhibit exopeptidasedestruction of the antigenic peptide.

[0062] In addition to the exemplary peptides described herein, theinvention provides methods for identifying other epitopic regionsassociated with said peptide regions capable of inducing MHC-restrictedcytotoxic T lymphocyte responses against HBV. The methods compriseobtaining peripheral blood lymphocytes (PBL) from infected or uninfectedindividuals and exposing (stimulating) the cells with synthetic peptideor polypeptide fragments derived from a peptide region of HBenv183-191(Seq. ID No. 1), HBenv248-260 (Seq. ID No. 2), HBenv260-269 (Seq. ID No.9), HBenv335-343 (Seq. ID No. 10), HBenv152-161 (Seq. ID No. 11),HBenv177-185 (Seq. ID No. 12), HBenv204-212 (Seq. ID No. 13), orHBenv370-379 (Seq. ID No. 14). Pools of overlapping synthetic peptides,each typically about 8 to 20 residues long, preferably 9-12 residues,can be used to stimulate the cells. Active peptides can be selected frompools which induce cytotoxic T lymphocyte activity. The ability of thepeptides to induce specific cytotoxic activity is determined byincubating the stimulated PBL with autologous labeled (e.g., ⁵¹Cr)target cells (such as HLA matched macrophages, T cells, fibroblasts or Blymphoblastoid cells) infected or transfected with the HBV subgenomicfragments thereof, such that the targeted antigen is synthesizedendogenously by the cell (or the cell is pulsed with the peptide ofinterest), and measuring specific release of label.

[0063] Once a peptide having an epitopic region which stimulates acytotoxic T lymphocyte response is identified, the MHC restrictionelement of the response can be determined. This involves incubating thestimulated PBL or short term lines thereof with a panel of (labeled)target cells of known HIA types which have been pulsed with the peptideof interest, or appropriate controls. The HLA allele(s) of cells in thepanel which are lysed by the CTL are compared to cells not lysed, andthe HLA restriction element(s) for the cytotoxic T lymphocyte responseto the antigen of interest is identified.

[0064] Carbone et al., J. Exp. Med. 167:1767 (1988), have reported thatstimulation with peptides may induce cytotoxic T lymphocytes with lowaffinity for corresponding endogenous protein, such that repetitivepeptide stimulation may yield cytotoxic T lymphocytes that recognizepeptide but not native antigen. As the inability of stimulated cytotoxicT lymphocytes to recognize native HBV proteins would be undesirable inthe development of HBV peptide therapeutics and vaccine compositions,methods to circumvent this potential limitation are used. A sequentialrestimulation of cytotoxic T cells is employed in the present inventionto identify and select T cells with a higher affinity for naturallyprocessed antigen than for a synthetic peptide. Short term cytotoxic Tlymphocyte lines are established by restimulating activated PBL. Cellsstimulated with peptide are restimulated with peptide and recombinant ornative HBV antigen, e.g., HBsAg. Cells having activity are alsostimulated with an appropriate T cell mitogen, e.g., phytohemagglutinin(PHA). The restimulated cells are provided with irradiated allogeneicPBLs as an antigen nonspecific source of T cell help, and HBV antigen.To selectively expand the population of cytotoxic T lymphocytes thatrecognize native HBV antigen and to establish long term lines, PBL froma patient are first stimulated with peptide and recombinant or nativeHBV antigen, followed by restimulation with HLA-matched B lymphoblastoidcells that stably express the corresponding HBV antigen polypeptide. Thecell lines are re-confirmed for the ability to recognize endogenouslysynthesized antigen using autologous and allogeneic B-lymphoblastoid orother cells transfected or infected with appropriate antigen.

[0065] Having identified different peptides of the invention whichcontribute to inducing anti-HBV cytotoxic T lymphocyte responses in oneor more patients or HLA types, in some instances it may be desirable tojoin two or more peptides in a composition. The peptides in thecomposition can be identical or different, and together they shouldprovide equivalent or greater biological activity than the parentpeptide(s). For example, using the methods described herein, two or morepeptides may define different or overlapping cytotoxic T lymphocyteepitopes from a particular region, e.g., the HBenv248-257 (Seq. ID No.3), HBenv249-257 (Seq. ID No. 4), HBenv249-258 (Seq. ID No. 5),HBenv250-258 (Seq. ID No. 6) HBenv251-259 (Seq. ID No. 7), and/orHBenv251-260 (Seq. ID No. 8) peptides, which peptides can be combined ina “cocktail” to provide enhanced immunogenicity for cytotoxic Tlymphocyte responses. Moreover, peptides of one region can be combinedwith peptides of other HBV regions, from the same or different HBVprotein, particularly when a second or subsequent peptide has a MHCrestriction element different from the first. Other CTL-inducing HBVpeptides are described in co-pending application U.S. Ser. No.07/935,898, which is incorporated herein by reference. This compositionof peptides can be used to effectively broaden the immunologicalcoverage provided by therapeutic, vaccine or diagnostic methods andcompositions of the invention among a diverse population. For example,the different frequencies of HLA alleles among prevalent ethnic groups(caucasian, asian and african blacks) are shown in Table I below.Therapeutic or vaccine compositions of the invention may be formulatedto provide potential therapy or immunity to as high a percentage of apopulation as possible. TABLE I HLA ALLELE FREQUENCIES AMONG PREVALENTETHNIC GROUPS HLA Allele EUC NAC AFR JPN A2 45.3 46.6 27.3 43.2 A29 7.48.1 12.3 0.4 A31 5.4 6.2 4.4 15.3 A32 8.8 7.1 3 0.1 A33 3.3 3.4 9 13.1A28* 7.7 9.9 16.6 1.1

[0066] The peptides of the invention can be combined via linkage to formpolymers (multimers), or can be formulated in a composition withoutlinkage, as an admixture. Where the same peptide is linked to itself,thereby forming a homopolymer, a plurality of repeating epitopic unitsare presented. When the peptides differ, e.g., a cocktail representingdifferent HBV subtypes, different epitopes within a subtype, differentHLA restriction specificities, a peptide which contains T helperepitopes, heteropolymers with repeating units are provided. In additionto covalent linkages, noncovalent linkages capable of formingintermolecular and intrastructural bonds are included.

[0067] Linkages for homo- or hetero-polymers or for coupling to carrierscan be provided in a variety of ways. For example, cysteine residues canbe added at both the amino- and carboxy-termini, where the peptides arecovalently bonded via controlled oxidation of the cysteine residues.Also useful are a large number of heterobifunctional agents whichgenerate a disulfide link at one functional group end and a peptide linkat the other, including N-succidimidyl-3-(2-pyridyl- dithio) proprionate(SPDP). This reagent creates a disulfide linkage between itself and acysteine residue in one protein and an amide linkage through the aminoon a lysine or other free amino group in the other. A variety of suchdisulfide/amide forming agents are known. See, for example, Immun. Rev.62:185 (1982), which is incorporated herein by reference. Otherbifunctional coupling agents form a thioether rather than a disulfidelinkage. Many of these thioether forming agents are commerciallyavailable and include reactive esters of 6-maleimidocaproic acid, 2bromoacetic acid, 2-iodoacetic acid, 4-(N-maleimido-methyl) cyclohexane-1-carboxylic acid and the like. The carboxyl groups can be activated bycombining them with succinimide or 1-hydroxy-2-nitro-4- sulfonic acid,sodium salt. A particularly preferred coupling agent is succinimidyl4-(N-maleimidomethyl) cyclohexane- 1-carboxylate (SMCC). It will beunderstood that linkage should not substantially interfere with eitherof the linked groups to function as described, e.g., as an HBV cytotoxicT cell determinant, peptide analogs, or T helper determinant.

[0068] In another aspect the peptides of the invention can be combinedor coupled with other peptides which present HBV T-helper cell epitopes,i.e., epitopes which stimulate T cells that cooperate in the inductionof cytotoxic T cells to HBV. The T-helper cells can be either theT-helper 1 or T-helper 2 phenotype, for example. T-helper epitopes fromHBV sequences have been identified at HBc1-20, having the sequence:Met-Asp-Ile-Asp-Pro-Tyr-Lys-Glu-Phe-Gly-Ala-Thr-Val-Glu-Leu-Leu-Ser-Phe-Leu-Pro (Seq. ID No. 17). Other T-helper epitopes are provided bypeptides from the region HBc50-69, having the sequencePro-His-His-Tyr-Ala-Leu-Arg-Gln-Ala-Ile-Leu-Cys-Trp-Gly-Glu-Leu-Met-Tyr-Leu-Ala(Seq. ID No. 18), and from the region of HBc100-139, includingHBc100-119 having the sequenceLeu-Leu-Trp-Phe-His-Ile-Ser-Cys-Leu-Thr-Phe-Gly-Arg-Glu-Thr-Val-Ile-Glu-Tyr-Leu(Seq. ID No. 19) (where Ile₁₁₆ is Leu in the HBV adw subtype),HBc117-131 having the sequence Glu-Tyr-Leu-Val-Ser-Phe-Gly-Val-Trp-Ile-Arg-Thr-Pro-Pro-Ala (Seq. ID No. 20),and peptide HBc120-139 having the sequenceVal-Ser-Phe-Gly-Val-Trp-Ile-Arg-Thr-Pro-Pro-Ala-Tyr-Arg-Pro-Pro-Asn-Ala-Pro-Ile(Seq. ID No. 21). See, Ferrari et al., J. Clin. Invest. 88:214-222(1991), and U.S. Pat. No. 4,882,145, each incorporated herein byreference.

[0069] The peptides of the invention can be prepared in a wide varietyof ways. Because of their relatively short size, the peptides can besynthesized in solution or on a solid support in accordance withconventional techniques. Various automatic synthesizers are commerciallyavailable and can be used in accordance with known protocols. See, forexample, Stewart and Young, Solid Phase Peptide Synthesis, 2d. ed.,Pierce Chemical Co. (1984); Tam et al., J. Am. Chem. Soc. 105:6442(1983); Merrifield, Science 232:341-347 (1986); and Barany andMerrifield, The Peptides, Gross and Meienhofer, eds., Academic Press,New York, pp. 1-284 (1979), each of which is incorporated herein byreference.

[0070] Alternatively, recombinant DNA technology may be employed whereina nucleotide sequence which encodes a peptide of interest is insertedinto an expression vector, transformed or transfected into anappropriate host cell and cultivated under conditions suitable forexpression. These procedures are generally known in the art, asdescribed generally in Sambrook et al., Molecular Cloning. A LaboratoryManual, Cold Spring Harbor Press, Cold Spring Harbor, N.Y. (1982), andAusubel et al., (ed.) Current Protocols in Molecular Biology, John Wileyand Sons, Inc., New York (1987), and U.S. Pat. Nos. 4,237,224,4,273,875, 4,431,739, 4,363,877 and 4,428,941, for example, whosedisclosures are each incorporated herein by reference. Thus, fusionproteins which comprise one or more peptide sequences of the inventioncan be used to present the HBV cytotoxic T cell determinants. Forexample, a recombinant envelope protein of the invention is prepared inwhich the HBenv amino acid sequence is altered so as to more effectivelypresent epitopes of peptide regions described herein to stimulate acytotoxic T lymphocyte response. By this means a polypeptide is usedwhich incorporates several T cell epitopes.

[0071] As the coding sequence for peptides of the length contemplatedherein can be synthesized by chemical techniques, for example, thephosphotriester method of Matteucci et al., J. Am. Chem. Soc. 103:3185(1981), modification can be made simply by substituting the appropriatebase(s) for those encoding the native peptide sequence. The codingsequence can then be provided with appropriate linkers and ligated intoexpression vectors commonly available in the art, and the vectors usedto transform suitable hosts to produce the desired fusion protein. Anumber of such vectors and suitable host systems are now available. Forexpression of the fusion proteins, the coding sequence will be providedwith operably linked start and stop codons, promoter and terminatorregions and usually a replication system to provide an expression vectorfor expression in the desired cellular host. For example, promotersequences compatible with bacterial hosts are provided in plasmidscontaining convenient restriction sites for insertion of the desiredcoding sequence. The resulting expression vectors are transformed intosuitable bacterial hosts. Yeast or mammalian cell hosts may also beused, employing suitable vectors and control sequences.

[0072] The peptides of the present invention and pharmaceutical andvaccine compositions thereof are useful for administration to mammals,particularly humans, to treat and/or prevent HBV infection. As thepeptides are used to stimulate cytotoxic T-lymphocyte responses to HBVinfected cells, the compositions can be used to treat or prevent acuteand/or chronic HBV infection.

[0073] For pharmaceutical compositions, the peptides of the invention asdescribed above will be administered to an individual already infectedwith HBV. Those in the incubation phase or the acute phase of infectioncan be treated with the immunogenic peptides separately or inconjunction with other treatments, as appropriate. In therapeuticapplications, compositions are administered to a patient in an amountsufficient to elicit an effective cytotoxic T lymphocyte response to HBVand to cure or at least partially arrest its symptoms and/or,complications. An amount adequate to accomplish this is defined as“therapeutically effective dose.” Amounts effective for this use willdeperd on, e.g., the peptide composition, the manner of administration,the stage and severity of the disease being treated, the weight andgeneral state of health of the patient, and the judgment of theprescribing physician, but generally range from about 1 μg to about2,000 mg of peptide for a 70 kg patient, with dosages of from about 10μg to about 100 mg of peptide being more commonly used, followed bybooster dosages from about 1 μg to about 1 mg of peptide over weeks tomonths, depending on a patient's CTL response, as determined bymeasuring HBV- specific CTL activity in PBLs obtained from the patient.It must be kept in mind that the peptides and compositions of thepresent invention may generally be employed in serious disease states,that is, life-threatening or potentially life threatening situations. Insuch cases, in view of the minimization of extraneous substances and therelative nontoxic nature of the peptides, it is possible and may be feltdesirable by the treating physician to administer substantial excessesof these peptide compositions.

[0074] Single or multiple administrations of the compositions can becarried out with dose levels and pattern being selected by the treatingphysician. In any event, the pharmaceutical formulations should providea quantity of cytotoxic T-lymphocyte stimulatory peptides of theinvention sufficient to effectively treat the patient.

[0075] For therapeutic use, administration should begin at the firstsign of HBV infection or shortly after diagnosis in cases of acuteinfection, and continue until at least symptoms are substantially abatedand for a period thereafter. In well established and chronic cases,loading doses followed by maintenance or booster doses may be required.The elicitation of an effective cytotoxic T lymphocyte response to HBVduring treatment of acute hepatitis will minimize the possibility ofsubsequent development of chronic hepatitis, HBV carrier stage, andensuing hepatocellular carcinoma.

[0076] Treatment of an infected individual with the compositions of theinvention may hasten resolution of the infection in acutely infectedindividuals, about 90% of whom are capable of resolving the infectionnaturally. For those individuals susceptible (or predisposed) todeveloping chronic infection the compositions are particularly useful inmethods for preventing the evolution from acute to chronic infection.Where the susceptible individuals are identified prior to or duringinfection, for instance, as described herein, the composition can betargeted to them, minimizing need for administration to a largerpopulation.

[0077] The peptide compositions can also be used for the treatment ofchronic hepatitis and to stimulate the immune system of carriers tosubstantially reduce or even eliminate virus-infected cells. Those withchronic hepatitis can be identified as testing positive for virus fromabout 3-6 months after infection. As individuals may develop chronic HBVinfection because of an inadequate (or absent) cytotoxic T lymphocyteresponse during the acute phase of their infection, it is important toprovide an amount of immuno-potentiating peptide in a formulation andmode of administration sufficient to effectively stimulate a cytotoxic Tcell response. Thus, for treatment of chronic hepatitis, arepresentative dose is in the range of about 1 μg to 1,000 mg,preferably about 5 μg to 100 mg for a 70 kg patient per dose.Administration should continue until at least clinical symptoms orlaboratory indicators indicate that the HBV infection has beeneliminated or substantially abated and for a period thereafter.Immunizing doses followed by maintenance or booster doses at establishedintervals, e.g., from one to four weeks, may be required, possibly for aprolonged period of time, as necessary to resolve the infection. For thetreatment of chronic and carrier HBV infection it may also be desirableto combine the CTL peptides with other peptides or proteins that induceimmune response to other HBV antigens.

[0078] The pharmaceutical compositions for therapeutic treatment areintended for parenteral, topical, oral or local administration.Preferably, the pharmaceutical compositions are administeredparenterally, e.g., intravenously, subcutaneously, intradermally, orintramuscularly. Thus, the invention provides compositions forparenteral administration which comprise a solution of the cytotoxicT-lymphocyte stimulatory peptides dissolved or suspended in anacceptable carrier, preferably an aqueous carrier. A variety of aqueouscarriers may be used, e.g., water, buffered water, 0.4% saline, 0.3%glycine, hyaluronic acid and the like. These compositions may besterilized by conventional, well known sterilization techniques, or maybe sterile filtered. The resulting aqueous solutions may be packaged foruse as is, or lyophilized, the lyophilized preparation being combinedwith a sterile solution prior to administration. The compositions maycontain pharmaceutically acceptable auxiliary substances as required toapproximate physiological conditions, such as pH adjusting and bufferingagents, tonicity adjusting agents, wetting agents and the like, forexample, sodium acetate, sodium lactate, sodium chloride, potassiumchloride, calcium chloride, sorbitan monolaurate, triethanolamineoleate, etc.

[0079] In some embodiments it may be desirable to include in thepharmaceutical composition at least one component which primes CTL.Lipids have been identified which are capable of priming CTL in vivoagainst viral antigens, e.g.,tripalmitoyl-S-glycerylcysteinly-seryl-serine (P₃CSS), which caneffectively prime virus specific cytotoxic T lymphocytes when covalentlyattached to an appropriate peptide. See, Deres et al., Nature342:561-564 (1989), incorporated herein by reference. Peptides of theinvention can be coupled to P₃CSS, for example, and the lipopeptideadministered to an individual to specifically prime a cytotoxic Tlymphocyte response to HBV. Further, as the induction of neutralizingantibodies can also be primed with P₃CSS conjugated to a peptide whichdisplays an appropriate epitope, e.g., HBsAg epitopes, the twocompositions can be combined to more effectively elicit both humoral andcell-mediated responses to HBV infection.

[0080] The concentration of cytotoxic T-lymphocyte stimulatory peptidesof the invention in the pharmaceutical formulations can vary widely,i.e., from less than about 1%, usually at or at least about 10% to asmuch as 20 to 50% or more by weight, and will be selected primarily byfluid volumes, viscosities, etc., in accordance with the particular modeof administration selected.

[0081] Thus, a typical pharmaceutical composition for intravenousinfusion could be made up to contain 250 ml of sterile Ringer'ssolution, and 100 mg of peptide. Actual methods for preparingparenterally administrable compounds will be known or apparent to thoseskilled in the art and are described in more detail in for example,Remington's Pharmaceutical Science, 17th ed., Mack Publishing Company,Easton, Pa. (1985), which is incorporated herein by reference.

[0082] The peptides of the invention may also be administered vialiposomes, which serve to target the peptides to a particular tissue,such as lymphoid tissue or HBV-infected hepatic cells. Liposomes canalso be used to increase the half-life of the peptide composition.Liposomes useful in the present invention include emulsions, foams,micelles, insoluble monolayers, liquid crystals, phospholipiddispersions, lamellar layers and the like. In these preparations thepeptide to be delivered is incorporated as part of a liposome, alone orin conjunction with a molecule which binds to, e.g., a receptor,prevalent among lymphoid cells, such as monoclonal antibodies which bindto the CD45 antigen, or with other therapeutic or immunogeniccompositions. Thus, liposomes filled with a desired peptide of theinvention can be directed to the site of lymphoid or hepatic cells,where the liposomes then deliver the selected therapeutic/immunogenicpeptide compositions. Liposomes for use in the invention are formed fromstandard vesicle-forming lipids, which generally include neutral andnegatively charged phospholipids and a sterol, such as cholesterol. Theselection of lipids is generally guided by consideration of, e.g.,liposome size and stability of the liposomes in the blood stream. Avariety of methods are available for preparing liposomes, as describedin, e.g., Szoka et al., Ann. Rev. Biophys. Bioeng. 9:467 (1980), U.S.Pat. Nos. 4,235,871, 4,501,728, 4,837,028, and 5,019,369, incorporatedherein by reference. For targeting to the immune cells, a ligand to beincorporated into the liposome can include, e.g., antibodies orfragments thereof specific for cell surface determinants of the desiredimmune system cells. A liposome suspension containing a peptide may beadministered intravenously, locally, topically, etc. in a dose whichvaries according to, the mode of administration, the peptide beingdelivered, the stage of disease being treated, etc.

[0083] For solid compositions, conventional nontoxic solid carriers maybe used which include, for example, pharmaceutical grades of mannitol,lactose, starch, magnesium stearate, sodium saccharin, talcum,cellulose, glucose, sucrose, magnesium carbonate, and the like. For oraladministration, a pharmaceutically acceptable nontoxic composition isformed by incorporating any of the normally employed excipients, such asthose carriers previously listed, and generally 10-95% of activeingredient, that is, one or more peptides of the invention, and morepreferably at a concentration of 25%-75%.

[0084] For aerosol administration, the cytotoxic T-lymphocytestimulatory peptides are preferably supplied in finely divided formalong with a surfactant and propellant. Typical percentages of peptidesare 0.01%-20% by weight, preferably 1%-10%. The surfactant must, ofcourse, be nontoxic, and preferably soluble in the propellant.Representative of such agents are the esters or partial esters of fattyacids containing from 6 to 22 carbon atoms, such as caproic, octanoic,lauric, palmitic, stearic, linoleic, linolenic, olesteric and oleicacids with an aliphatic polyhydric alcohol or its cyclic anhydride.Mixed esters, such as mixed or natural glycerides may be employed. Thesurfactant may constitute 0.1%-20% by weight of the composition,preferably 0.25-5%. The balance of the composition is ordinarilypropellant. A carrier can also be included as desired, e.g., lecithinfor intranasal delivery.

[0085] In another aspect the present invention is directed to vaccineswhich contain as an active ingredient an immunogenically effectiveamount of a cytotoxic T-lymphocyte stimulating peptide as describedherein. The peptide(s) may be introduced into a host, including humans,linked to its own carrier or as a homopolymer or heteropolymer of activepeptide units. Such a polymer has the advantage of increasedimmunological reaction and, where different peptides are used to make upthe polymer, the additional ability to induce antibodies and/orcytotoxic T cells that react with different antigenic determinants ofHBV. Useful carriers are well known in the art, and include, e.g.,keyhole limpet hemocyanin, thyroglobulin, albumins such as human serumalbumin, tetanus toxoid, polyamino acids such aspoly(D-lysine:D-glutamic acid), and the like. The vaccines can alsocontain a physiologically tolerable (acceptable) diluent such as water,phosphate buffered saline, or saline, and further typically include anadjuvant. Adjuvants such as incomplete Preund's adjuvant, aluminumphosphate, aluminum hydroxide, or alum are materials well known in theart. And, as mentioned above, cytotoxic T lymphocyte responses can beprimed by conjugating peptides of the invention to lipids, such asP₃CSS. Upon immunization with a peptide composition as described herein,via injection, aerosol, oral, transdermal or other route, the immunesystem of the host responds to the vaccine by producing large amounts ofcytotoxic T-lymphocytes specific for HBV antigen, and the host becomesat least partially immune to HBV infection, or resistant to developingchronic HBV infection.

[0086] Vaccine compositions containing the peptides of the invention areadministered to a patient susceptible to or otherwise at risk of HBVinfection to enhance the patient's own immune response capabilities.Such an amount is defined to be a “immunogenically effective dose.” Inthis use, the precise amounts again depend on the patient's state ofhealth and weight, the mode of administration, the nature of theformulation, etc., but generally range from about 1.0 μg to about 500 mgper 70 kilogram patient, more commonly from about 50 μg to about 200 mgper 70 kg of body weight. The peptides are administered to individualsof an appropriate HLA type, e.g., for vaccine compositions of peptidesfrom the region of HBenv183-191 (Seq. ID No. 1), HBenv248-260 (Seq. IDNo. 2), HBenv260-269 (Seq. ID No. 9), HBenv335-343 (Seq. ID No. 10),HBenv152-161 (Seq. ID No. 11), HBenv177-185 (Seq. ID No. 12),HBenv204-212 (Seq. ID No. 13), and/or HBenv370-379 (Seq. ID No. 14),these will be administered to at least HLA-A2 individuals.

[0087] In some instances it may be desirable to combine the peptidevaccines of the invention with vaccines which induce neutralizingantibody responses to HBV, particularly to HBV envelope antigens, suchas recombinant HBV env-encoded antigens or vaccines prepared frompurified plasma preparations obtained from HBV-infected individuals. Avariety of HBV vaccine preparations have been described, and are basedprimarily on HBsAg and polypeptide fragments thereof. For examples ofvaccines which can be formulated with the peptides of the presentinvention, see generally, EP 154,902 and EP 291,586, and U.S. Pat. Nos.4,565,697, 4,624,918, 4,599,230, 4,599,231, 4,803,164, 4,882,145,4,977,092, 5,017,558 and 5,019,386, each being incorporated herein byreference. The vaccines can be combined and administered concurrently,or as separate preparations.

[0088] For therapeutic or immunization purposes, the peptides of theinvention can also be expressed by attenuated viral hosts, such asvaccinia. This approach involves the use of vaccinia virus as a vectorto express nucleotide sequences that encode the HBV peptides of theinvention. Upon introduction into an acutely or chronically HBV-infectedhost or into a non-infected host, the recombinant vaccinia virusexpresses the HBV peptide and thereby elicits a host cytotoxic Tlymphocyte response to HBV. Vaccinia vectors and methods useful inimmunization protocols are described in, e.g., U.S. Pat. No. 4,722,848,incorporated herein by reference. Another vector is BCG (bacilleCalmette Guerin). BCG vectors are described in Stover et al. (Nature351:456-460 (1991)) which is incorporated herein by reference. A widevariety of other vectors useful for therapeutic administration orimmunization of the peptides of the invention, e.g., Salmonella typhivectors and the like, will be apparent to those skilled in the art fromthe description herein.

[0089] The compositions and methods of the claimed invention may beemployed for ex vivo therapy. By ex vivo therapy is meant thattherapeutic or immunogenic manipulations are performed outside the body.For example, lymphocytes or other target cells may be removed from apatient and treated with high doses of the subject peptides, providing astimulatory concentration of peptide in the cell medium far in excess oflevels which could be accomplished or tolerated by the patient.Following treatment to stimulate the CTLs, the cells are returned to thehost to treat the HBV infection. The host's cells may also be exposed tovectors which carry genes encoding the peptides, as described above.Once transfected with the vectors, the cells may be propagated in vitroor returned to the patient. The cells which are propagated in vitro maybe returned to the patient after reaching a predetermined cell density.

[0090] The peptides may also find use as diagnostic reagents. Forexample, a peptide of the invention may be used to determine thesusceptibility of a particular individual to a treatment regimen whichemploys the peptide or related peptides, and thus may be helpful inmodifying an existing treatment protocol or in determining a prognosisfor an affected individual. In addition, the peptides may also be usedto predict which individuals will be at substantial risk for developingchronic HBV infection.

[0091] The following examples are offered by way of illustration, not byway of limitation.

EXAMPLE I Identification of CTL-Specific HBenv Enitopes

[0092] This Example describes the identification of HBenv peptides whichstimulated HLA-restricted CTL responses specific for HBV envelopeantigens.

[0093] All patients included in the study were HLA-A2 positive. Thirteenpatients (A-1 to A-13; Table II) were studied during an episode of acutehepatitis, 6 (C-1 to C-6) were chronically infected by HBV, and 6uninfected healthy volunteers (N-1 to N-6) served as normal controls.The patients and their HLA haplotypes, determined using PBMC inmicrocytotoxicity testing with HLA typing trays (One Lambda, CanogaPark, Calif.), are shown in Table II.

[0094] Diagnosis of acute hepatitis was based on standard diagnosticcriteria. Diagnostic parameters included clinical (jaundice) andbiochemical evidence of liver injury (ALT activity at least 20 foldgreater than the upper limits of normal), together with serologicalevidence of acute HBV infection (presence of HBV surface antigen (HBsAg)and IgG anti-HBc antibody) in the absence of serological evidence ofhepatitis delta and hepatitis C virus infection (Abbott Laboratories,North Chicago, Ill.). All patients were studied during the first 4 weeksafter onset of jaundice, at which time their serum was positive forHBsAg and their ALT levels were markedly abnormal. Eleven of the 13patients subsequently recovered from the illness, with normalization ofserum transaminase and clearance of HBsAg within four months of initialdiagnosis. One patient (A-11, Table II) developed chronic activehepatitis and remained HBsAg positive 13 months after initial diagnosis.One patient (A-10) was lost to follow-up after the initial clinic visit.Patients with chronic hepatitis B were repeatedly serologically positivefor HBsAg for more than six months and displayed mildly to moderatelyelevated serum ALT activity. Normal controls had no clinical history ofHBV infection and were serologically negative for HBV markers. Allpatients and TABLE II Characteristics of Subjects Studied Subject SexDiagnosis HLA class I haplotype A-1 Male Acute A2, A30, B35, B44, Cw4,Cw7 A-2 Male Acute A2, A31, 8w58(5Y), B51, Cw3 A-3 Male Acute A2, Bw41,Bw71, Cw4, Cw7 A-4 Male Acute A2, A32, Bw41, Bw71, Cw4, Cw7 A-5 MaleAcute A2, A1, B8, 8w58(5Y), Cw7 A-6 Female Acute A2, Aw68, B35, Cw3, Cw4A-7 Male Acute A2, A1, B8, Bw73, Cw3, Cw4 A-8 Female Acute A2, Aw69,Bw53, Cw4 A-9 Male Acute A2, A24, B7, B27, Cw2, Cw7 A-10 Male Acute A2,A3, Bw62, Bw71, Cw3, Cw4 A-11 Male Acute A2, A24, B35, Cw4 A-12 MaleAcute A2, A3, Cw5 A-13 Male Acute A2, A3, B7, Bw60, Cw3, Cw7 C-1 MaleChronic A2, B27, B35, Cw2, Cw4 C-2 Male Chronic A2, A1, B8, B44 C-3 MaleChronic A2, A24, B44, Bw67 C-4 Male Chronic A2, Aw69, Bw41, Bw52 C-5Male Chronic A2, B5, Bw62, Cw4 C-6 Male Chronic A2, A26, B35, Cw4 N-1Male Normal A2, A11, B44, Cw4 N-2 Male Normal A2, Bw56, B35 N-3 MaleNormal A2, A11, B8, Bw62, Cw4 N-4 Male Normal A2, A23, B5, Bw58, Cw2,Cw6 N-5 Male Normal A2, B44, Bw63 N-6 Female Normal A2, A11, Bw58

[0095] normal controls were serologically negative for antibody to HIV.

[0096] PBMC from patients and normal donors were separated onFicoll-Hypaque density gradients (Sigma, St. Louis, Mo.), washed threetimes in Hanks balanced salt solution (HBSS) (Gibco, Grand Island,N.Y.), resuspended in RPMI 1640 medium (Gibco, Grand Island, N.Y.)supplemented with L-glutamine (2 mM), gentamicin (10 μg/ml), penicillin(50 U/ml), streptomycin (50 μg/ml), and HEPES (5 mM) containing 10% heatinactivated human AB serum (complete medium) and plated in 24 wellplates at 4×10⁶ cells/well. The synthetic peptides were added to thecell cultures at a final concentration of 10 μg/ml unless otherwisenoted. rHBcAg was added at 1 μg/ml during the first week of stimulation.At day 3, 1 ml of complete medium supplemented with rIL2 (Hoffman-LaRoche, Nutley, N.Y.) at 10 U/ml final concentration was added in eachwell. On day 7, the cultures were restimulated with peptide, rIL2 andirradiated (3000 rads) autologous or HLA-A2 matched feeder cells, andthe cultured PBMC were tested for CTL activity on day 14. Selectedcultures that displayed peptide specific cytolytic activity wereexpanded by weekly restimulation with 1×10⁶ irradiated (6000 rads)allogeneic PBMC and 1×10⁵ irradiated (18000 rads) JY cells (allogeneicEBV-B transformed cell line, HLA-A2.1, B7, Cw7) (14) in 1 ml of completemedium containing 1 μg/ml peptide, 20 U/ml IL2 and 1 μg/mlphytohemagglutinin (PHA) (Sigma, St. Louis, Mo.).

[0097] For cytotoxicity assays, target cells consisted either of a)autologous PHA stimulated blasts or allogeneic HIA matched andmismatched EBV-transformed B lymphoblastoid cell lines (B-LCL) incubatedovernight with synthetic peptides at 10 μg/ml; b) stable B-LCLtransfectants described above; or c) B-LCL infected with recombinantvaccinia viruses (described below). B-LCL were either purchased from TheAmerican Society for Histocompatibility and Immunogenetics (Boston,Mass.) or established from our own pool of patients and normal donors asdescribed in copending application 07/935,898. The cells were maintainedin RPMI 1640 supplemented with L-glutamine, (2 mM), gentamicin (10μg/ml), penicillin (50 U/ml), streptomycin (50 μg/ml), HEPES (5 mM), and10% (vol/vol) heat inactivated FCS (Gibco, Grand Island, N.Y.). Shortterm lines of autologous PBMC blasts were produced by stimulatingperipheral blood PBMC with PHA at 1 μg/ml in the RPMI 1640 supplementedwith L-glutamine (2 mM), gentamicin (10 μg/ml), penicillin (50 U/ml),streptomycin (50 μg/ml), HEPES (5 mM), 10% (vol/vol) heat inactivatedFCS, and 10 U/ml rIL2 for 7 days before use as target cells. Vacciniainfected targets were prepared by infection of 1×10⁶ cells at 50plaque-forming U/cell on a rocking plate at room temperature for onehour followed by a single wash and overnight incubation at 37° C.

[0098] Target cells were labeled with 100 μCi of ⁵¹Cr (Amersham,Arlington Heights, Ill.) for one hour and washed three times with HBSS.Cytolytic activity was determined in a standard 4 hour ⁵¹Cr releaseassay using U-bottom 96 well plates containing 5000 targets per well.All assays were performed in duplicate. Percent cytotoxicity wasdetermined from the formula: 100 ×[(experimental release−spontaneousrelease)/(maximum release−spontaneous release)]. Maximum release wasdetermined by lysis of targets by detergent (1% Triton X-100, Sigma).Spontaneous release was less than 25% of maximal release in all assays.

[0099] Two HIA-A2 positive patients with acute hepatitis (A-1 and A-3)were initially selected for analysis of the CTL response to HBsAg329-348(ASARFSWLSLLVPFVQWFVG (Seq. ID No. 22)), which contains 2 overlappingHLA A2.1 allele specific binding motifs (WLSLLVPFV and LLVPFVQWFV). Oneof these patients (A-3) was known from previous experiments to displayan HLA A2 restricted CTL response to a 10 residue HBV nucleocapsidepitope (HBcAg18-27) that also represents an HLA A2.1 allele specificbinding motif (FLPSDFFPSV). This patient was considered a potentialresponder to one or both of the motifs in HBsAg329-348. Another patient(A-1), known to be a nonresponder to HBcAg18-27, was studied forcomparison.

[0100] HBsAg329-348 specific CTL lines were generated from PBMC of bothpatients by stimulation with the peptide as described above. After 2-3weeds of stimulation, both patients displayed a strong cytotoxicresponse against a homozygous HLA A2.1 positive EBV cell line (JY)prepulsed with the HBsAg329-348 peptide. Patient A-1's HBsAg329-348specific cell line was selected for cloning.

[0101] CTL lines were cloned originally at 1, 10, and 100 cells per welland then subcloned at 0.3 or 1 cell per well in 96 well microtiterplates. The cells were plated in the presence of peptide (1 μg/ml), PHA(1 μg/ml), rIL-2 (20 U/ml), irradiated (6000 rads) allogeneic PBMC (10⁵cells/well), and irradiated (18000 rads) JY cells (10⁴ cells/well). HBVspecific clones were restimulated in a 24 well plate as described aboveexcept that the,peptide was omitted and irradiated JY cells, transfectedwith a plasmid that confers stable expression of the HBV large envelopeantigen (EBO-pres1, reference 10), were added at 10⁵ cells per well.

[0102] Using patient A-1's HBsAg329-348 specific cell line four cloneswere derived from cells plated at 1 cell per well (clone B13, B16, B17)or 0.3 cells per well (clone B3). Clone B3 was tested against a panel ofallogeneic target cells partially matched with the effectors at thelevel of HLA class I alleles. Using allogeneic target cells partiallymatched at HLA class I with patient A-1, the cytolytic activity of cloneB3 was found to be HLA-A2 restricted, due to the presence of 2 HLA-A2.1binding motifs in the peptide. An HBsAg329-348 specific polyclonal CTLline derived from patient A-3 was also determined to be HLA-A2restricted in the same manner. Since the HLA-A2 subtypes of the patientswere not determined, it is not known if the CTL response to the peptidesis restricted only by the HLA-A2.1 allele or whether it extends to otherHLA-A2 subtypes as well.

[0103] To determine a minimum, optimal HLA-A2 restricted CTL epitopewithin HBsAg329-348, a panel of amino-terminal truncations andoverlapping nine-mers and ten-mers derived from the HBsAg329-348sequence were produced to map the HLA-A2 restricted CTL epitope(s)present in this 20 residue peptide, which contains 2 overlapping idealHLA-A2.1 binding motifs. The HLA-A2 restricted CTL clone B17 frompatient A-1, and a polyclonal CTL line 1B9 from patient A-3, derived byrepetitive stimulation of the initial cell line described above andHBsAg329-348, were used as effector cells to establish the finespecificity of the CTL response to HBsAg329-348. Target cells wereproduced by incubating an HLA-A2.1 positive B cell line (JY) either withthe original 20-mer or with the truncated peptides.

[0104] The results, shown in FIG. 1, indicated that only the first ofthe 2 HLA-A2.1 binding motifs (HBsAg335-343) is recognized by the CTL.Furthermore, the data demonstrate that this peptide (WLSLLVPFV) is theminimal, optimal HLA-A2 restricted epitope recognized by HBsAg329-348stimulated CTL, since omission of the extreme amino-terminal or theextreme carboxy-terminal residue from HBsAg335-343 abolishes recognitionby the CTL.

[0105] The superiority of HBsAg335-343 at the effector level wasreiterated when the peptides were used to stimulate a CTL response inPBMC from patient A-1. Synthetic peptides representing assortedHBsAg329-348 subunits were used at 10 μM to stimulate PBMC of patientA-1. After 2 weeks of stimulation the cytotoxicity of these lines wastested at E:T of 60:1 against JY target cells prepulsed with 10 μM ofthe same peptide and JY target cells prepulsed with 10 μM HBsAg335-343.Results shown in FIG. 2 represent % lysis in a 4 hour ⁵¹Cr releaseassay. As can be seen in FIG. 2, although HBsAg335-343 and its extendedvariants proved capable of inducing a CTL response, omission of theextreme amino- and carboxy-terminal amino acids completely abolished theability of the peptides to stimulate a CTL response, thereby reinforcingthe conclusion that HBsAg335-343 is the minimal optimal HLA-A2restricted epitope between residues 329-348 of HBsAg.

EXAMPLE II CTL Response to Seven HLA-A2.1 Binding Motifs in HBVenv

[0106] Seven ideal HLA-A2.1 allele specific binding motifs, defined aspeptides between 9-10 residues in length that contain a leucine in thesecond position and a valine as the carboxy-terminal residue, arepresent in the HBsAg region of the HBV, envelope protein (Table III).Based on the results obtained in Example I, the ability of these sevenenvelope peptides, plus the known HLA-A2 restricted HBV nucleocapsidepitope (HBcAg18-27), to stimulate a CTL response in 12 HLA-A2 positivepatients with acute hepatitis B, was examined. For comparison, sixHLA-A2 positive patients with chronic hepatitis and 6 uninfected normalcontrols were tested for responsiveness to the same panel of peptides.TABLE III HBV-derived HLA-A2.1 binding motifs and peptides PeptideSequence Seq. ID No. 1 HBcAg18-27 FLPSDFFPSV 23 2 HBsAg201-210SLNFLGGTTV 24 3 HBsAg251-259 LLCLIFLLV 7 4 HBsAg260-269 LLDYQGMLPV 9 5HBsAg335-343 WLSLLVPFV 10 6 HBsAg338-347 LLVPFVQWFV 25 7 HBsAg348-357GLSPTVWLSV 26 8 HBsAg378-387 LLPIFFCLWV 27

[0107] PBMC from acute patients (A-1 to A-12), chronic patients (C-1 toC-6), and normal subjects (N-1 to N-6) were stimulated with thefollowing synthetic peptides: 1=HBcAg18-27, 2=HBsAg201-210,3=HBsAg251-259, 4=HBsAg260-269, 5=HBcAg335-343, 6=HBsAg338-347,7=HBsAg348-357, 8=HBsAg378-387, for two weeks as described in Example I,and tested in a 4 hour ⁵¹Cr release assay against JY target cellsprepulsed overnight with the same peptide. Peptide specific cytotoxicitywas measured by subtracting the ⁵¹Cr release by JY target cells notprepulsed with peptide from the ⁵¹Cr release by JY target cellsprepulsed with the peptide. Results shown (FIG. 3) represent % specificlysis in a 4 hour ⁵¹Cr release assay.

[0108] As can be seen in FIG. 3, nine of the twelve HLA-A2 positivepatients with acute hepatitis responded to at least one of the peptidesin the panel. In contrast, none of the six HLA-A2 positive uninfectednormal controls responded to any of the peptides following the same invitro stimulation strategy, suggesting that responsiveness to thesepeptides by the patients reflects in vivo priming by the correspondingHBV-derived epitopes.

[0109] Importantly, eight of the nine responders recognized multipleepitopes within the panel, indicating that the CTL response to HBVduring acute hepatitis is both polyclonal and multispecific.Furthermore, there was substantial variation in the spectrum of epitopesrecognized among the nine responders, with certain epitopes beingrecognized more frequently than others. For example, HBcAg18-27 andHBsAg335-343 were recognized individually by seven and eight of the nineresponders, respectively, and when combined they were recognized by allnine of the responders. In contrast, HBsAg348-357, HBsAg251-259 andHBsAg260-269 were recognized by only 3/9, 2/5 and 3/6 of the respondersin whom they were tested.

[0110] Nucleotide sequence analysis of circulating virion DNA in acutelyinfected patients showed that all patients, including the CTLnonresponders, were infected by viruses that expressed the precise aminoacid sequence present in the prototype HBsAg335-343 peptide used tostimulate expansion of CTL in vitro. Since residues 335-343 are known tobe conserved in all the published HBV sequences derived from all 4 HBVsubtypes, as published in the GenBank-72 database, as well as in the 10patients studied herein, it may be concluded that HBsAg335-343 is an HBVgroup specific CTL epitope. The same was not true for HBsAg348-357,however, since only seven of the ten patients were found to be infectedby viruses that encode the prototype sequence used for in vitrostimulation (GLSPTVWLSV). The remaining three patients (A-9, A-10, A-13)displayed a variant sequence in which the carboxy-terminal valine wassubstituted by an alanine at position 357. Among the patients infectedby the prototype virus, CTL responders and nonresponders to HBsAg348-357were observed, just as for the response to HBsAg335-343. On the otherhand, none of the 3 patients infected by the variant virus displayed aCTL response to the prototype peptide.

[0111] It is noteworthy that all nine responders subsequently becameHBsAg negative and their liver disease completely resolved. In contrast,all six patients with chronic hepatitis, who failed to clear the virus,also failed to mount a peripheral blood CTL response to any of theseepitopes. Three of the acutely infected patients (A-10, A-11, A-12) alsofailed to respond to any of these peptides. Furthermore, one of thenonresponders (A-11) developed chronic active hepatitis and was stillHBsAg positive 13 months after his acute illness. These combined datastrongly suggest a relationship between the CTL response and viralclearance. However, nonresponder patient A-12 seroconverted to HBsAgnegativity between 1-4 months after disease onset.

[0112] As indicated in Table II and FIG. 3, four of the nine respondersshared only the HLA A2 allele with the JY target cell line used in thisstudy (HLA-A2, B7, Cw7), demonstrating that the response to all of thepeptides was HLA-A2 restricted in these individuals. Since the remainingresponders also share the HLA B7 and/or Cw7 alleles present in the JYtarget cells in addition to A2, it is possible, although unlikely, thatthese alleles could also serve as restriction elements for theseepitopes in these patients.

[0113] The molecular basis for the differential immunogenicity of theseven HBV envelope peptides was not immediately evident from acomparison of their sequences. Potential differences in the relativebinding affinity of the peptides to HLA-A2.1 were examined bydetermining the ability of the seven envelope peptides to compete withthe binding of an unrelated HLA-A2 restricted nucleocapsid epitope(HBcAg18-27) to a homozygous HLA-A2.1 positive B cell line (JY).

[0114] The competitive binding inhibition assay used an HBcAg18-27specific CTL clone from patient A-4 as a source of effector cells.Blocking peptides (1, 10, 100 μM) were added to a mixture of⁵¹Cr-labelled, HLA-A2.1 positive JY target cells and effector cells(E:T=40:1, 3000 target cells/well) for 40 minutes before the addition ofa subsaturating concentration (0.03 μM) of the target peptide,HBcAg¹⁸⁻²⁷. The binding ability of each peptide was assessed bycalculating the degree to which it blocked the lysis of target cells ina 4 hour ⁵¹Cr release assay.

[0115] As shown in FIG. 4, all four immunogenic peptides and two of thethree nonimmunogenic peptides bound to the HLA-A2.1 molecule, but withwidely (more than 100-fold) variable efficiencies that did not correlatewith their relative immunogenicity. Importantly, the only peptide thatdid not bind to HLA-A2.1 in this assay (HBsAg337-348) wasnonimmunogenic. For the other two nonimmunogenic peptides, however, theHLA-A2.1 binding affinity was as high or higher than some of theimmunogenic peptides. Thus, although the capacity of a peptide to bindto this class I molecule is required for immunogenicity, it does notguarantee it. This suggests that the additional factors at the level ofantigen processing and the T cell repertoire may play a role indetermining which HLA-A2.1 binding peptides within a viral protein areable to induce a CTL response.

EXAMPLE III Peptide Specific CTL Recognize Endogenous HBenv Antigen

[0116] The ability of HBsAg₃₃₅₋₃₄₃ and HBsAg₃₄₈₋₃₅₇ specific CTL torecognize endogenously synthesized antigen was examined by measuringtheir ability to lyse target cells that had been infected with twogroups of recombinant vaccinia viruses which encode the large, middleand major envelope polypeptides derived from cloned HBV genomes ofeither the ayw or the adw subtypes of HBV.

[0117] Recombinant vaccinia viruses expressing the HBV large, middle andmajor envelope polypeptides (adw subtype) and a corresponding controlwild type vaccinia were obtained (Smith et al., Nature 302:490 (1983);Cheng et al., J. Virol. 60:337 (1986); and Cheng and Moss, J. Virol.61:1286 (1987), each of which are incorporated herein by reference). Anindependent series of recombinant vaccinia viruses expressing the samethree HBV envelope polypeptides of the HBV ayw subtype was derived asfollows. For expression of the HBsAg, an XhoI/SphI restriction fragmentcontaining nucleotides 1409-2514 of the HBV sequence was cloned into avaccinia virus expression vector downstream from the 7.5 K early/latepromoter. For the presl expressing vaccinia virus, a Bgl II/Sph Ifragment containing nucleotides 937-2514 was used. For cloning the preS2coding sequence, first a short adapter oligonucleotide was synthesizedwhich started at nucleotide 1267 (e.g., six base-paris upstream from thepreS2 start codon) and spanned the Eco RI site at position 1280. Aftercloning this oligonucleotide into the vaccinia virus expression vector,the coding sequence was completed by recloning the Eco RI/SphI HBVfragment (nucleotides 1280-2514) into this intermediate construct.Generation of recombinant vaccinia viruses was done according tostandard procedures as described in Smith et al., supra. Stabletransfectants that expressed the HBV envelope proteins (ayw subtype)were produced by transfection of B-LCL with a panel of EBV basedexpression vectors that contain the corresponding HBV (ayw subtype)coding regions, as described in Guilhot et al., J. Virol. 66:2670(1992), incorporated herein by reference.

[0118] An HBsAg₃₃₅₋₃₄₃ specific CTL line (patient A-1) and anHBsAg₃₄₈₋₃₅₇ specific CTL line (patient A-4) were generated bystimulation with peptide sequences WLSLLVPFV and GLSPTVWLSV,respectively. CTL were incubated with ⁵¹Cr-labelled JY target cells thathad been preincubated either with media, with the inducing peptide or(in the case of HBsAg₃₄₈₋₃₅₇) with a variant peptide (GLSPTVWLSA). CTLwere also incubated with ⁵¹Cr-labelled JY target cells that had beeninfected with a panel of 6 recombinant vaccinia viruses that express theHBV major (V-HBs), middle (V-preS2), and large (V-preS1) envelopepolypeptides derived from ayw and adw HBV genomes. Wild-type vacciniaviruses (V-wt) were used as controls. The HBsAg₃₃₅₋₃₄₃ specific CTL line(right panel) was used at an E:T=40:1. The HBsAg₃₄₈₋₃₅₇ specific CTLline (left panel) was used at an E:T=3:1. Results shown represent %lysis in a 4 hour ⁵¹Cr release assay.

[0119] Both HBsAg₃₃₅₋₃₄₃ and HBsAg₃₄₈₋₃₅₇ specific CTL from patients A-1and A-4 were able to lyse recombinant vaccinia virus infected targetcells that synthesize all three of the HBV envelope proteins (FIG. 5).This indicates that both of these synthetic peptides represent epitopesthat are generated by the endogenous processing of the large, middle andmajor HBV envelope polypeptides within infected cells.

[0120] Importantly, HBsAg₃₃₅₋₃₄₃ specific CTL could lyse targets thatwere infected by both sets of recombinant vaccinia viruses with equalefficiency, with the HBsAg₃₄₈₋₃₅₇ specific CTL lysed with ayw infectedtarget cell panel much more efficiently than the adw targets.

[0121] The results described in the foregoing Examples illustrate thatthe CTL response to HBV in man appears to be quite polyvalent,presumably to afford more efficient protection against this seriousviral infection. Furthermore the data indicate that the peptidestimulation strategy employed herein is both efficient and effective forthe identification and analysis of the polyvalent response, restrictedas it is by the polymorphic HLA class I locus. As additional HLA allelespecific binding motifs are identified, HBV-derived peptides containingthese motifs can be used for in vitro stimulation of CTL precursors.

[0122] All publications, patents and patent applications mentioned inthis specification are herein incorporated by reference into thespecification to the same extent as if each individual publication,patent or patent application was specifically and individually indicatedto be incorporated herein by reference.

[0123] From the foregoing it will be appreciated that, although specificembodiments of the invention have been described herein for purposes ofillustration, various modifications may be made without deviating fromthe spirit and scope of the invention. Accordingly, the invention is notlimited except as by the appended claims.

1 57 1 9 PRT Artificial Sequence HBenv183-191 1 Phe Leu Leu Thr Arg IleLeu Thr Ile 1 5 2 13 PRT Artificial Sequence HBenv248-260 2 Phe Ile LeuLeu Leu Cys Leu Ile Phe Leu Leu Val Leu 1 5 10 3 10 PRT ArtificialSequence HBenv248-257 3 Phe Ile Leu Leu Leu Cys Leu Ile Phe Leu 1 5 10 49 PRT Artificial Sequence HBenv249-257 4 Ile Leu Leu Leu Cys Leu Ile PheLeu 1 5 5 10 PRT Artificial Sequence HBenv249-258 5 Ile Leu Leu Leu CysLeu Ile Phe Leu Leu 1 5 10 6 9 PRT Artificial Sequence HBenv250-258 6Leu Leu Leu Cys Leu Ile Phe Leu Leu 1 5 7 9 PRT Artificial SequenceHBenv251-259 7 Leu Leu Cys Leu Ile Phe Leu Leu Val 1 5 8 11 PRTArtificial Sequence HBenv251-260 8 Leu Leu Leu Cys Leu Ile Phe Leu LeuVal Leu 1 5 10 9 10 PRT Artificial Sequence HBenv260-269 9 Leu Leu AspTyr Gln Gly Met Leu Pro Val 1 5 10 10 9 PRT Artificial SequenceHBenv335-343 10 Trp Leu Ser Leu Leu Val Pro Phe Val 1 5 11 10 PRTArtificial Sequence HBenv152-161 11 Ser Ile Leu Ser Lys Thr Gly Asp ProVal 1 5 10 12 9 PRT Artificial Sequence HBenv177-185 12 Val Leu Gln AlaGly Phe Phe Leu Leu 1 5 13 9 PRT Artificial Sequence HBenv204-212 13 PheLeu Gly Gly Thr Pro Val Cys Leu 1 5 14 10 PRT Artificial SequenceHBenv370-379 14 Ser Ile Val Ser Pro Phe Ile Pro Leu Leu 1 5 10 15 10 PRTArtificial Sequence HBsAg334-343 15 Ser Trp Leu Ser Leu Leu Val Pro PheVal 1 5 10 16 10 PRT Artificial Sequence HBsAg335-344 16 Trp Leu Ser LeuLeu Val Pro Phe Val Gln 1 5 10 17 20 PRT Artificial Sequence HBc1-20 17Met Asp Ile Asp Pro Tyr Lys Glu Phe Gly Ala Thr Val Glu Leu Leu 1 5 1015 Ser Phe Leu Pro 20 18 20 PRT Artificial Sequence HBc50-69 18 Pro HisHis Tyr Ala Leu Arg Gln Ala Ile Leu Cys Trp Gly Glu Leu 1 5 10 15 MetTyr Leu Ala 20 19 20 PRT Artificial Sequence HBc100-119 19 Leu Leu TrpPhe His Ile Ser Cys Leu Thr Phe Gly Arg Glu Thr Val 1 5 10 15 Ile GluTyr Leu 20 20 15 PRT Artificial Sequence HBc117-131 20 Glu Tyr Leu ValSer Phe Gly Val Trp Ile Arg Thr Pro Pro Ala 1 5 10 15 21 20 PRTArtificial Sequence HBc120-139 21 Val Ser Phe Gly Val Trp Ile Arg ThrPro Pro Ala Tyr Arg Pro Pro 1 5 10 15 Asn Ala Pro Ile 20 22 20 PRTArtificial Sequence HBsAg329-348 22 Ala Ser Ala Arg Phe Ser Trp Leu SerLeu Leu Val Pro Phe Val Gln 1 5 10 15 Trp Phe Val Gly 20 23 10 PRTArtificial Sequence HBcAg18-27 23 Phe Leu Pro Ser Asp Phe Phe Pro SerVal 1 5 10 24 10 PRT Artificial Sequence HBsAg201-210 24 Ser Leu Asn PheLeu Gly Gly Thr Thr Val 1 5 10 25 10 PRT Artificial SequenceHBsAg338-347 25 Leu Leu Val Pro Phe Val Gln Trp Phe Val 1 5 10 26 10 PRTArtificial Sequence HBsAg348-357 26 Gly Leu Ser Pro Thr Val Trp Leu SerVal 1 5 10 27 10 PRT Artificial Sequence HBsAg378-387 27 Leu Leu Pro IlePhe Phe Cys Leu Trp Val 1 5 10 28 19 PRT Artificial SequenceHBsAg330-348 28 Ser Ala Arg Phe Ser Trp Leu Ser Leu Leu Val Pro Phe ValGln Trp 1 5 10 15 Phe Val Gly 29 18 PRT Artificial Sequence HBsAg331-34829 Ala Arg Phe Ser Trp Leu Ser Leu Leu Val Pro Phe Val Gln Trp Phe 1 510 15 Val Gly 30 17 PRT Artificial Sequence HBsAg332-348 30 Arg Phe SerTrp Leu Ser Leu Leu Val Pro Phe Val Gln Trp Phe Val 1 5 10 15 Gly 31 16PRT Artificial Sequence HBsAg333-348 31 Phe Ser Trp Leu Ser Leu Leu ValPro Phe Val Gln Trp Phe Val Gly 1 5 10 15 32 15 PRT Artificial SequenceHBsAg334-348 32 Ser Trp Leu Ser Leu Leu Val Pro Phe Val Gln Trp Phe ValGly 1 5 10 15 33 14 PRT Artificial Sequence HBsAg335-348 33 Trp Leu SerLeu Leu Val Pro Phe Val Gln Trp Phe Val Gly 1 5 10 34 13 PRT ArtificialSequence HBsAg336-348 34 Leu Ser Leu Leu Val Pro Phe Val Gln Trp Phe ValGly 1 5 10 35 12 PRT Artificial Sequence HBsAg337-348 35 Ser Leu Leu ValPro Phe Val Gln Trp Phe Val Gly 1 5 10 36 11 PRT Artificial SequenceHBsAg338-348 36 Leu Leu Val Pro Phe Val Gln Trp Phe Val Gly 1 5 10 37 10PRT Artificial Sequence HBsAg339-348 37 Leu Val Pro Phe Val Gln Trp PheVal Gly 1 5 10 38 9 PRT Artificial Sequence HBsAg340-348 38 Val Pro PheVal Gln Trp Phe Val Gly 1 5 39 8 PRT Artificial Sequence HBsAg341-348 39Pro Phe Val Gln Trp Phe Val Gly 1 5 40 9 PRT Artificial SequenceHBsAg329-337 40 Ala Ser Ala Arg Phe Ser Trp Leu Ser 1 5 41 10 PRTArtificial Sequence HBsAg329-338 41 Ala Ser Ala Arg Phe Ser Trp Leu SerLeu 1 5 10 42 9 PRT Artificial Sequence HBsAg330-338 42 Ser Ala Arg PheSer Trp Leu Ser Leu 1 5 43 10 PRT Artificial Sequence HBsAg330-339 43Ser Ala Arg Phe Ser Trp Leu Ser Leu Leu 1 5 10 44 9 PRT ArtificialSequence HBsAg331-339 44 Ala Arg Phe Ser Trp Leu Ser Leu Leu 1 5 45 10PRT Artificial Sequence HBsAg331-340 45 Ala Arg Phe Ser Trp Leu Ser LeuLeu Val 1 5 10 46 9 PRT Artificial Sequence HBsAg332-340 46 Arg Phe SerTrp Leu Ser Leu Leu Val 1 5 47 10 PRT Artificial Sequence HBsAg332-34147 Arg Phe Ser Trp Leu Ser Leu Leu Val Pro 1 5 10 48 9 PRT ArtificialSequence HBsAg333-341 48 Phe Ser Trp Leu Ser Leu Leu Val Pro 1 5 49 10PRT Artificial Sequence HBsAg333-342 49 Phe Ser Trp Leu Ser Leu Leu ValPro Phe 1 5 10 50 9 PRT Artificial Sequence HBsAg334-342 50 Ser Trp LeuSer Leu Leu Val Pro Phe 1 5 51 9 PRT Artificial Sequence HBsAg336-344 51Leu Ser Leu Leu Val Pro Phe Val Gln 1 5 52 10 PRT Artificial SequenceHBsAg336-345 52 Leu Ser Leu Leu Val Pro Phe Val Gln Trp 1 5 10 53 9 PRTArtificial Sequence HBsAg337-345 53 Ser Leu Leu Val Pro Phe Val Gln Trp1 5 54 10 PRT Artificial Sequence HBsAg337-346 54 Ser Leu Leu Val ProPhe Val Gln Trp Phe 1 5 10 55 9 PRT Artificial Sequence HBsAg338-346 55Leu Leu Val Pro Phe Val Gln Trp Phe 1 5 56 9 PRT Artificial SequenceHBsAg339-347 56 Leu Val Pro Phe Val Gln Trp Phe Val 1 5 57 10 PRTArtificial Sequence variant of HBsAg348-357 57 Gly Leu Ser Pro Thr ValTrp Leu Ser Ala 1 5 10

What is claimed:
 1. An expression vector comprising a nucleic acid thatencodes a peptide of 50 amino acids or less in length wherein saidpeptide comprises at least seven contiguous amino acids of an amino acidsequence selected from the group consisting of HBenv₂₄₈₋₂₅₇,HBenv₂₄₉₋₂₅₇, HBenv₂₄₉₋₂₅₈, HBenv₂₅₀₋₂₅₈, HBenv₂₅₁₋₂₅₉, andHBenv₂₅₁₋₂₆₀.
 2. The expression vector of claim 1, wherein the peptideis 25 amino acids or less in length.
 3. The expression vector of claim2, wherein the peptide is 8, 9, 10, or 11 amino acids in length.
 4. Theexpression vector of claim 1, further wherein the nucleic acid encodesthe peptide and at least one additional immunogenic peptide.
 5. Thecomposition of claim 4, wherein the additional immunogenic peptideelicits a T-helper cell-mediated immune response.
 6. The composition ofclaim 4, wherein the additional immunogenic peptide elicits a cytotoxicT lymphocyte response.
 7. An expression vector comprising a nucleic acidthat encodes a peptide consisting of the amino acid sequence that isHBenv₃₄₈₋₃₅₇.
 8. The expression vector of claim 7, wherein the nucleicacid encodes the peptide and at least one additional peptide.
 9. Thecomposition of claim 8, wherein the additional immunogenic peptideelicits a T-helper cell-mediated immune response.
 10. The composition ofclaim 8, wherein the additional immunogenic peptide elicits a cytotoxicT lymphocyte response.
 11. A method of stimulating a cytotoxic T cellresponse, said method comprising administering an expression vectorcomprising a nucleic acid that encodes a peptide of 50 amino acids orless in length wherein said peptide comprises at least seven contiguousamino acids of an amino acid sequence selected from the group consistingof HBenv₂₄₈₋₂₅₇, HBenv₂₄₉₋₂₅₇, HBenv₂₄₉₋₂₅₈, HBenv₂₅₀₋₂₅₈, HBenv₂₅₁₋₂₅₉,HBenv₂₅₁₋₂₆₀.
 12. A method of stimulating a cytotoxic T cell response,said method comprising administering an expression vector comprising anucleic acid that encodes a peptide consisting of the amino acidsequence that is HBenv₃₄₈₋₃₅₇.